Active NPI
Tawfik A. Shabana, M.D.
- General Practice Physician
- Plano, TX
National Provider Identifier
1629496336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- K4238
- Practice address
- 4317 High Mesa Dr
Plano, TX 75093 - Phone
- (214) 227-2625
- NPI assigned
- Mar 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K4238 | TX | |
| Pediatrics Physician | 208000000X | K4238 | TX | |
| General Practice Physician | 208D00000X | K4238 | TX | Primary |
Addresses
Primary practice location
4317 High Mesa Dr
Plano, TX 75093
Mailing address
4317 High Mesa Dr
Plano, TX 75093
Phone (214) 227-2625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79634 | CA | MD | Marriage & Family Therapist |
| K4238 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physician Affiliates Blue PLLC | Current | Accepting new patients | |
| Texas Health Physician Affiliates Blue PLLC | Current | Accepting new patients | |
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Permian Premier Health Services, Inc | Past | Accepting new patients | |
| Texas Em-I Medical Services, PA | Past | Accepting new patients |
Locations
733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Garberville, CA
- NPI 1003819376
-
- Physical Therapist
- Fort Worth, TX
- NPI 1376413856
-
- Orthopaedic Surgery Physician
- Decatur, TX
- NPI 1548195100
-
- Skilled Nursing Facility
- Garberville, CA
- NPI 1245458421
-
- Optometrist
- Fortuna, CA
- NPI 1952198012
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548031552
-
- Emergency Medicine Physician
- Paris, TX
- NPI 1376715268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1629496336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 HIGH MESA DR",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "214-227-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 HIGH MESA DR",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "214-227-2625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABANA",
"first_name": "TAWFIK",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2021-01-25",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K4238",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K4238",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "K4238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.